scholarly journals Hepatic haematoma rupture in a Warmblood: a rare complication of hepatic AA amyloidosis

2019 ◽  
Vol 35 (2) ◽  
pp. 120-125
Author(s):  
M Diekstall ◽  
J Veh ◽  
A B M Rijkenhuizen
2019 ◽  
Vol 42 (1) ◽  
pp. 23-27
Author(s):  
Jon de la Maza Ortiz ◽  
Seila García Mulas ◽  
Juan Carlos Ávila Alegría ◽  
Javier García Lledó ◽  
Leticia Pérez Carazo ◽  
...  

2021 ◽  
Author(s):  
Leonardo Oliveira Mendonca ◽  
Henrikki Gomes Antila ◽  
Alex Isidoro Prado ◽  
Luiz Augusto Marcondes Fonseca ◽  
Miton de Arruda Martins ◽  
...  

Abstract Immunoglobulin 4 Related Disease (IgG4-RD) is immune-mediated fibroinflammatory disease and despite recent advances the immunological process involved in the disease pathogenesis is still unclear. Serum amyloid A (SAA) the precursor protein in AA amyloidosis is induced by inflammatory mediators such as IL-1, IL-6 and TNF cytokines. The treatment of AA amyloidosis is directed by the theoretical cytokine involved in the underlying inflammatory condition. Many inflammatory conditions has already been associated to AA amyloidosis and secondary to IgG4-RD seems to be rare. Here we report the case of a Brazilian patient with IgG4-RD with a fatal evolution of systemic amyloidosis. We also revised the cases already reporte in the literature with IgG4-RD and systemic amyloidosis.


2020 ◽  
Vol 4 (3) ◽  
pp. 92-95
Author(s):  
Patrícia Alves ◽  
Mário Góis ◽  
Marco Mendes ◽  
Helena Sousa ◽  
João Sousa ◽  
...  

Amyloidosis is a rare complication of non-Hodgkin lymphoma, almost exclusively of AL-type, AA-type amyloidosis secondary to non-Hodgkin lymphoma is extremely rare. We report a case of a 55-year-old woman diagnosed with follicular lymphoma that developed nephrotic proteinuria; further investigation confirmed the diagnosis of AA-type amyloidosis, and other long-term inflammatory disorders were excluded. Despite initiation of combined chemotherapy, there was no hematological response and kidney function and clinical condition continued to deteriorate. This case describes an unexpected association, AA-type amyloidosis secondary to non-Hodgkin lymphoma, a condition with poor renal prognosis where treating the underlying disease is paramount.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
E Saad ◽  
L O'Connell

Abstract Abstract Laparoscopic cholecystectomy (LC) is currently considered the gold standard for the management of symptomatic gallbladder stones disease. Specific complications remain challenging, particularly postoperative bleeding, bile leak, and bile duct injury. We report a rare case of a giant intrahepatic subcapsular haematoma (ISH) complicating LC. Case Presentation A 59-year-old female presented with symptomatic biliary colic. Her past medical history was noted for obesity (BMI > 50). She underwent an elective LC with an uncomplicated intraoperative course; however, post-operatively she developed hypovolaemic shock with an acute haemoglobin drop requiring fluid resuscitation and blood transfusion. Emergency CT revealed a massive subcapsular haematoma measuring 21cm×3.1cm× 17cm at the right liver margin without evidence of ongoing bleeding. She was managed conservatively- as per a tertiary hepatobiliary surgery centre’s advice- with meticulous clinical observations, serial monitoring of haemoglobin, and repeat CT to assess for interval progressions. She progressed well with conservative management and did not require surgical or radiological intervention. A follow-up liver US performed eight weeks post-discharge confirmed a complete resolution. Conclusions Giant ISH is an exceedingly rare but life-threatening complication following LC which merits special attention. Our case demonstrates the necessity of close postoperative monitoring of patients undergoing LC and considering the possibility of ISH in those who experience a refractory postoperative hypotension. It also highlights the decisive role of diagnostic imaging in securing a timely and accurate diagnosis of post LC-ISH


2019 ◽  
Vol 12 (7) ◽  
pp. e229335
Author(s):  
Pratyusha Tirumanisetty ◽  
Jose William Sotelo ◽  
Aditya Rander ◽  
Taussif Syed

A 72-year-old female patient who was admitted for ischaemic stroke had developed ascending cholangitis. Percutaneous transhepatic cholangiogram was performed to drain the infected bile, but this was complicated by haemorrhagic shock and hepatic haematoma. Mesenteric angiogram showed right hepatic artery (RHA) pseudoaneurysm which was embolised, there by stopping her bleeding. RHA is normally located posterior to common bile duct (CBD). An uncommon location of RHA is anterior to CBD, which can lead to haemorrhagic complications during percutaneous cholangiogram.


2020 ◽  
Vol 5 (3) ◽  
pp. S378
Author(s):  
B. Raja ◽  
D. Zellama ◽  
N. Ben Aicha ◽  
W. Sahtout ◽  
N. Abdessaied ◽  
...  

2006 ◽  
Vol 12 ◽  
pp. 11-12
Author(s):  
Lalitha Darbha ◽  
Howard Sweeney
Keyword(s):  

2018 ◽  
Vol 24 ◽  
pp. 51
Author(s):  
Sanober Parveen ◽  
Hadoun Jabri ◽  
Michael Jakoby

VASA ◽  
2006 ◽  
Vol 35 (1) ◽  
pp. 41-44 ◽  
Author(s):  
Klein-Weigel ◽  
Pillokat ◽  
Klemens ◽  
Köning ◽  
Wolbergs ◽  
...  

We report two cases of femoral vein thrombosis after arterial PTA and subsequent pressure stasis. We discuss the legal consequences of these complications for information policies. Because venous thrombembolism following an arterial PTA might cause serious sequel or life threatening complications, there is a clear obligation for explicit information of the patients about this rare complication.


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